Kristina Anne Davis, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28416.1333 Issued in WY

Practice address

467 Cane Mill Crossing Rd
Patrick, SC 29584-4537

Phone

(843) 287-1234

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crook County Medical Services District 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crook County Hospital Hospital, Sundance, WY, CCN 531311
• Crook County Hospital Nursing home, CCN 53Z311

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crook County Medical Services District

  • Critical Access Hospital
  • Sundance, WY
  • NPI 1871660159

  WY

  Medicare reassignment Care Compare group NPD
• Weston County Hospital District

  • Rural Acute Care Hospital
  • Newcastle, WY
  • NPI 1154402972

  WY

  Medicare reassignment NPD
• Crook County Medical Services District

  • Family Medicine Physician
  • Hulett, WY
  • NPI 1912075102
  Care Compare group NPD
• Crook County Medical Services District

  • Nursing Care Agency
  • Sundance, WY
  • NPI 1114086402
  Care Compare group
• Crook County Medical Services District

  • Family Medicine Physician
  • Sundance, WY
  • NPI 1245308428
  Care Compare group
• Crook County Medical Services District

  • Family Medicine Physician
  • Moorcroft, WY
  • NPI 1447328638
  Care Compare group
• Weston County Hospital District

  • Rural Health Clinic/Center
  • Upton, WY
  • NPI 1588230015
  NPD
• Peak Emergency Physicians LLC

  • Emergency Medicine Physician
  • Douglas, WY
  • NPI 1306187737
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crook County Medical Services District

  • Critical Access Hospital
  • Sundance, WY
  • NPI 1871660159

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1366856320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 CANE MILL CROSSING RD",
            "city": "PATRICK",
            "state": "SC",
            "postal_code": "295844537",
            "telephone_number": "843-287-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 CANE MILL CROSSING RD",
            "city": "PATRICK",
            "state": "SC",
            "postal_code": "295844537",
            "telephone_number": "843-287-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTINA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "SC",
            "license": "109073",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "28416.1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care With Integrity
• Temicha Roshell Grant, RN
• Tammy Haney
• Alicia Marie Perdue, PT
• Kim Perdue
• Rosa Lee Privette, LPC, LPCS, LACS, LAC

• All providers in Patrick, SC
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.